Individual
GREGG ALEXANDER RONNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC
Contact information
Practice address
12400 GETTYSBURG AVE N APT 67, CHAMPLIN, MN 55316-1927
(612) 790-4258
Mailing address
12400 GETTYSBURG AVE N APT 67, CHAMPLIN, MN 55316-1927
(612) 790-4258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303429
MN
101YM0800X
Mental Health Counselor
Primary
01006
MN
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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